| NPI | 1659743904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801104318) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI D 565 546 572 770) |
| 247200000X Technician, Other | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2019-06-26 |